Success at nonoperative treated patients with fractures of distal radial bone

Aleksandar Stankovic ,
Aleksandar Stankovic
Voja Cvetkovic ,
Voja Cvetkovic
Dejan Ristic ,
Dejan Ristic
Biljana Stankovic ,
Biljana Stankovic
Branislav Vracevic
Branislav Vracevic

Published: 01.12.2010.

Biochemistry

Volume 27, Issue 4 (2011)

pp. 362-367;

https://doi.org/10.5937/matmed1104362s

Abstract

Tracking of anatomical and functional results obtained after non-surgical treatment of the distal radius including 51 patients. Tracking of the results was based upon Anatomical Score System and Gartland-Werley Score System. The final numerical results obtained through Anatomical Score were the following:excellent in 12 cases (23.52%), good in 30 cases (58.82%), satisfactory in 8 cases (15.68%), dissatisfactory in 1 case (1.96%). According to the Gartland-Werley Score System, the final results included: excellent in 19 cases (37.25%), good in 24 cases (47.00%), satisfactory in 7 cases (13.72%), dissatisfactory in 1 case (1.96%). This work also presents correlation between Residual Deformity score, Subjective Hardship score and Objective dysfunction, with the results obtained by Anatomical score and Gartland-Werley total score. The possibility of dissatisfactory results obtained by radiological screening followed by dissatisfactory outcome is described in literature; however, dissatisfactory screening results could be found in up to 31.7% of cases with satisfactory clinical findings. Our work records 15.7% of the latter cases. We might say that non-surgical treatment is not to be accepted as the only and exclusive approach to distal radius fracture. Thus, proper evaluation is mandatory.

Keywords

References

1.
Hove L, Fjeldsgaard K. Fractures of the distal radius in a Norwegian city.scandinavian journal of plastic and reconstructive surgery and hand surgery. 1995;(3):263–7.
2.
Moir j s,Murali s r,ashcroft G P at.al.a new functional brace for the treatment of Colles fractures. Injury. 1995;(9):587–93.
3.
M. dynamic External fixation of Unstable fractures of the distal part of the radius. journal of Bone and joint surgery. 1994;1149–61.
4.
Hove L, Fjeldsgaard K. skjeie r at al.anatomical and functional result five years after remanipulated Colles fractures. scand j Plast Peconstr Hand surg. 1995;349–55.
5.
Tsukazaki T, Ktakagi, Iwasaki K. Poor correlation between functional result and radiographich findigs in Colles fracture. journal of Hand surgery, British and europian vol. 1993;588–91.
6.
Warwic D,Field J,Prothero D. Function ten years after Colles fracture. Clinical Orthopaedics and related research. 1993;270–4.
7.
Fiacca C. Long term results of Conservative Treatment of fractures of the distal radius. Clinical Orthopaedics and related research. 1986;202–9.
8.
Lipton H. The operative treatment of intraarticular fractures of the distal radius. Clin Orthop. 1993;48–61.
9.
Function after distal radius fracture. acta ortop.scand. 1988;(1):39–42.
10.
Ha L, Wollstein. Operative treatment of intraarticular distal radial fractures. Clinical Orthopaedics and related research. 1996;110–24.
11.
Zdravković M, Vukov V, Milenković M, Panić M, Bumbaširević M. Hirurško lečenje povreda akromioklavikularnog zgloba kod sportista sa brzim povratkom sportskim aktivnostima. Materia Medica. 2010;138–42.

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